Monika Gureh, Keshav Jindal*, Sanjay Gupta and Attri AK
Department of Surgery, Government Medical College and Hospital, IndiaFulltext PDF
Background: The present study was planned to describe the characteristics, hospital course and outcome of COVID-19 positive patients who presented with features of mesenteric ischemia and subsequent bowel gangrene. Material and Methods: The data of all COVID positive patients admitted to emergency surgery department from March 2021 to June 2021 was analyzed. Results: The total of 99 patients, majority (32.3%) had skin and soft tissue infection followed by secondary peritonitis due to perforation of hollow viscus (17.1%). Five patients were identified to have gangrene of small bowel. On exploration, 4 patients had ‘patchy gangrene’ of small bowel where in 1 patient had gangrene of complete segment of small bowel been gangrenous. Conclusion: Hyper coagulation state due to SARS-CoV-2 infection can lead to small bowel ischemia and, ‘patchy gangrene’ is characteristic of COVID-19 ischemia of small bowel.
Small bowel ischemia; Coagulopathy; Reverse transcriptase polymerase chain
Gureh M, Jindal K, Gupta S, Attri AK. Small Bowel Ischemia due to COVID-19. Ann Surg Case Rep. 2022; 5(1): 1058..